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Study identifier: NCT06297863 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Head Down Tilt 15° to Increase Collateral Flow in Acute Ischemic Stroke

Condition: Acute Ischemic Stroke  ·  Sponsor: University of Milano Bicocca

PhasePhase 2
Planned participants118
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

The DOWN-SUITE study is multicenter, randomised, controlled, open-label clinical trial with blinded outcome assessment comparing collateral status in patients with acute ischemic stroke treated with an in-hospital application of head down tilt -10° to -15° (HDT15) versus usual positioning (0° to +30°) before endovascular mechanical thrombectomy. This study will involve adult patients who are eligible for mechanical thrombectomy and who have acute ischemic stroke due to left or right middle cerebral artery occlusion (M1 segment). The investigators hypothesise that HDT15, applied in acute ischemic stroke patients with a large vessel occlusion, will improve collateral circulation, prolong the survival of the ischemic penumbra and improve the clinical benefit from mechanical thrombectomy compared with standard of care (usual positioning 0° to +30°).

This description comes directly from the study's public registry record.

Talk to the study team

Simone Beretta, MD, PhD  ·  +390392333568  ·  simone.beretta@unimib.it

BiCRO (academic CRO)  ·  bicro@unimib.it

Always discuss trial participation with your own doctor first.

Locations (6)

Ospedale Civile SS. Nicola e Filippo Avezzano Pronto SoccorsoAvezzano, ItalyNot Yet Recruiting
Azienda Ospedaliero Universitaria CareggiFlorence, ItalyNot Yet Recruiting
Azienda Ospedaliera Policlinico Universitario "G. Martino"Messina, ItalyNot Yet Recruiting
Fondazione IRCCS San Gerardo dei Tintori MonzaMonza, ItalyRecruiting
Azienda Ospedaliero Universitaria Policlinico Umberto IRoma, ItalyNot Yet Recruiting
Ospedale Santa Maria della MisericordiaUdine, ItalyNot Yet Recruiting

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Source record: clinicaltrials.gov/study/NCT06297863